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P wave inversion

MedGen UID:
1646973
•Concept ID:
C4703434
•
Finding
HPO: HP:0031600

Definition

P wave below instead of above the baseline. P-wave inversion in the inferior leads may indicate a non-sinus origin of the P waves. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVP wave inversion

Professional guidelines

PubMed

Evaluation of the Seattle and International Criteria in elite Nigerian athletes.
Ilodibia TF, Odia JO
J Electrocardiol 2021 Sep-Oct;68:14-23. Epub 2021 Jul 7 doi: 10.1016/j.jelectrocard.2021.06.007. PMID: 34273803
Diagnostic Yield of Genetic Testing in Young Athletes With T-Wave Inversion.
Sheikh N, Papadakis M, Wilson M, Malhotra A, Adamuz C, Homfray T, Monserrat L, Behr ER, Sharma S
Circulation 2018 Sep 18;138(12):1184-1194. doi: 10.1161/CIRCULATIONAHA.118.034208. PMID: 29764897Free PMC Article
Danshen injection as adjuvant treatment for unstable angina pectoris: A systematic review and meta-analysis.
Wu JR, Liu S, Zhang XM, Zhang B
Chin J Integr Med 2017 Apr;23(4):306-311. Epub 2016 Dec 5 doi: 10.1007/s11655-016-2272-0. PMID: 27921196

Recent clinical studies

Etiology

Cardiac involvement in Wilson's disease: a retrospective cohort study.
Wang C, Gao H, Sun J, Wang L, Li W, Zu X, Cheng P, Wei S, Zhao P
Eur J Gastroenterol Hepatol 2022 Nov 1;34(11):1147-1150. Epub 2022 Aug 23 doi: 10.1097/MEG.0000000000002432. [Epub ahead of print] PMID: 36170683
The prognostic importance of isolated P-Wave abnormalities.
Kaykha A, Myers J, Desser KB, Laufer N, Froelicher VF
Clin Cardiol 2010 Jun;33(6):E87-93. doi: 10.1002/clc.20628. PMID: 20552614Free PMC Article
P wave and the development of atrial fibrillation.
Ishida K, Hayashi H, Miyamoto A, Sugimoto Y, Ito M, Murakami Y, Horie M
Heart Rhythm 2010 Mar;7(3):289-94. Epub 2009 Nov 12 doi: 10.1016/j.hrthm.2009.11.012. PMID: 20133209

Diagnosis

Cardiac involvement in Wilson's disease: a retrospective cohort study.
Wang C, Gao H, Sun J, Wang L, Li W, Zu X, Cheng P, Wei S, Zhao P
Eur J Gastroenterol Hepatol 2022 Nov 1;34(11):1147-1150. Epub 2022 Aug 23 doi: 10.1097/MEG.0000000000002432. [Epub ahead of print] PMID: 36170683
Case report: an electrocardiogram of spontaneous pneumothorax mimicking arm lead reversal.
Wieters JS, Carlin JP, Morris A
J Emerg Med 2014 May;46(5):620-3. Epub 2014 Jan 17 doi: 10.1016/j.jemermed.2013.09.016. PMID: 24440619
The prognostic importance of isolated P-Wave abnormalities.
Kaykha A, Myers J, Desser KB, Laufer N, Froelicher VF
Clin Cardiol 2010 Jun;33(6):E87-93. doi: 10.1002/clc.20628. PMID: 20552614Free PMC Article
P wave and the development of atrial fibrillation.
Ishida K, Hayashi H, Miyamoto A, Sugimoto Y, Ito M, Murakami Y, Horie M
Heart Rhythm 2010 Mar;7(3):289-94. Epub 2009 Nov 12 doi: 10.1016/j.hrthm.2009.11.012. PMID: 20133209
The occurrence and mechanism of P-wave inversion in lead I in right atrial overloading. Report of two cases.
Mirowski M, Vure E
Am Heart J 1966 Jul;72(1):102-5. doi: 10.1016/0002-8703(66)90632-6. PMID: 4223264

Therapy

Cardiac involvement in Wilson's disease: a retrospective cohort study.
Wang C, Gao H, Sun J, Wang L, Li W, Zu X, Cheng P, Wei S, Zhao P
Eur J Gastroenterol Hepatol 2022 Nov 1;34(11):1147-1150. Epub 2022 Aug 23 doi: 10.1097/MEG.0000000000002432. [Epub ahead of print] PMID: 36170683

Prognosis

The prognostic importance of isolated P-Wave abnormalities.
Kaykha A, Myers J, Desser KB, Laufer N, Froelicher VF
Clin Cardiol 2010 Jun;33(6):E87-93. doi: 10.1002/clc.20628. PMID: 20552614Free PMC Article
P wave and the development of atrial fibrillation.
Ishida K, Hayashi H, Miyamoto A, Sugimoto Y, Ito M, Murakami Y, Horie M
Heart Rhythm 2010 Mar;7(3):289-94. Epub 2009 Nov 12 doi: 10.1016/j.hrthm.2009.11.012. PMID: 20133209

Clinical prediction guides

The prognostic importance of isolated P-Wave abnormalities.
Kaykha A, Myers J, Desser KB, Laufer N, Froelicher VF
Clin Cardiol 2010 Jun;33(6):E87-93. doi: 10.1002/clc.20628. PMID: 20552614Free PMC Article
P wave and the development of atrial fibrillation.
Ishida K, Hayashi H, Miyamoto A, Sugimoto Y, Ito M, Murakami Y, Horie M
Heart Rhythm 2010 Mar;7(3):289-94. Epub 2009 Nov 12 doi: 10.1016/j.hrthm.2009.11.012. PMID: 20133209

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